Medicare-Medicaid Pay-Down of Assets
State law and regulations impose income and asset limits on persons applying for Medicaid.
The income limit for the institutional Medicaid program and certain home and community-based waiver programs is determined by the Vermont Agency of Human Services and is set at 300% of the maximum SSI federal payment to an individual living independently in the community. For 2025, the Medicaid income limit for individuals eligible is $2,901 per month.
The asset limit is $2,000 for an individual or $3,000 for a married couple applying together.
The lookback period for transfers is 60 calendar months prior to the first month in which the individual both requests eligibility for Medicaid coverage of long-term care services and supports and meets all other requirements for eligibility.
The number of days in a penalty period are equal to the total value of all disallowed transfers made during a given calendar month divided by the average daily cost to a privately paying patient of nursing facility services in the state as of the date of application or the date of discovery, if additional disallowed transfers are discovered after the initial determination of eligibility for Medicaid coverage of long-term care services and supports.
Health Benefits Eligibility and Enrollment Rules Part 2
Part 4
Part 5
Vermont Health Connect 2025 Eligibility Table